0001766400-21-000139.txt : 20211019 0001766400-21-000139.hdr.sgml : 20211019 20211019193032 ACCESSION NUMBER: 0001766400-21-000139 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211015 FILED AS OF DATE: 20211019 DATE AS OF CHANGE: 20211019 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH BARRY M CENTRAL INDEX KEY: 0001212067 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38900 FILM NUMBER: 211332366 MAIL ADDRESS: STREET 1: 4800 N SCOTTSDALE RD STREET 2: SUITE 5000 CITY: SCOTTSDALE STATE: AZ ZIP: 85251 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Pennant Group, Inc. CENTRAL INDEX KEY: 0001766400 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1675 E. RIVERSIDE DRIVE, SUITE 150 CITY: EAGLE STATE: ID ZIP: 83616 BUSINESS PHONE: 2089576025 MAIL ADDRESS: STREET 1: 1675 E. RIVERSIDE DRIVE, SUITE 150 CITY: EAGLE STATE: ID ZIP: 83616 4 1 wf-form4_163468621356113.xml FORM 4 X0306 4 2021-10-15 0 0001766400 Pennant Group, Inc. PNTG 0001212067 SMITH BARRY M 1675 E RIVERSIDE DR, SUITE 150 EAGLE ID 83616 1 0 0 0 Common Stock 2021-10-15 4 A 0 750 0 A 6199 D These shares vest in three annual installments beginning October 15, 2022. /s/ Derek J. Bunker, as attorney in fact 2021-10-19